Razakel is a crafter, a creator. His children are horrid beasts and nightmares, and so his followers follow suit. Be they the monster crafters and mad experimenters grafting together parts in vile ceremonies, or the hideous aberrations born of such things, he gives his blessing to that which mocks natural life, living and unliving alike.

Only in the most corrupt societies is Razakel is ever worshiped. Intelligent aberrations of a chaotic bent worship him, and very rarely the occasional illithid who prizes Razakel for his... inspirational qualities when it comes to the canvas of flesh. Thus his temples consist of magical labs where madmen brew up terror, and nothing more.